• 제목/요약/키워드: Case Report

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후두에 발생한 원발성 악성임파종 1례 (A Case of Malignant Lymphoma of the Larynx)

  • 우훈영;고건성;이희배;전시영;오경균;백만기
    • 대한기관식도과학회:학술대회논문집
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    • 대한기관식도과학회 1978년도 제12차 학술대회연제 순서 및 초록
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    • pp.6.3-6
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    • 1978
  • 후두에 발생하는 악성임파종은 극히 드물며 특히 원발성인 경우는 더욱 드물다. 1934년 Mackenty가 처음 후두의 악성임파종을 보고한 이래 28례가 보고 되었다. 그중 원발성인 경우는 8례 이었으며 아직 국내에서는 보고된 바 없다. 저자들은 호흡곤란과 연하장애를 주소로 내원하여 후두의 원발성 악성임파종으로 진단된 10세 남자환자를 경험하였기에 문헌고찰과 더불어 보고하는 바이다.

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Mesotherapy with Snake Venom Pharmacopuncture to Treat Hand Eczema: Two Cases Report

  • Kim, Sungha;Lee, Jinbok;Shin, Minseop
    • 대한약침학회지
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    • 제23권4호
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    • pp.273-276
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    • 2020
  • Hand eczema is a recurrent and resistant disease that seriously affects the quality of life of patients; currently, there are no ideal treatments for hand eczema. Here, we describe two patients who presented with hand eczema to illustrate the potential efficacy of mesotherapy with snake venom pharmacopuncture (SVP). A 23-year-old woman (Case 1) and a 47-year-old woman (Case 2) presented to the clinic with symptoms of pruritic rash, blisters, and itchiness on both the hands and the left hand, respectively. Both patients were diagnosed with hand eczema based on the physical examination of blisters and redness only on the hands. The patients underwent 1 month (Case 1) and 1 week (Case 2) of mesotherapy with SVP. After treatment, the lesions completely improved and did not recur at 1 year of follow-up. These outcomes suggest that mesotherapy with SVP may be effective for the resolution of hand eczema; however, further research is needed to confirm these findings.

하부위장관출혈로 인한 출혈성 빈혈 환자에 대한 수비전 치험 1례 : 증례보고 (A Case Report of Subi-jeon in a Patient with Hemorrhagic Anemia Due to Lower Gastrointestinal Hemorrhage)

  • 서원주;이유진;이현규;조기호;문상관;정우상;강승철
    • 대한한방내과학회지
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    • 제41권4호
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    • pp.699-704
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    • 2020
  • Introduction: This case report addressed the effect of Korean medicine treatments on a patient with hemorrhagic anemia due to lower gastrointestinal bleeding. Case report: An 83-year-old male with lower gastrointestinal bleeding was treated with Korean medicine, including the herbal medication Subi-jeon. We evaluated the improvements of symptoms by hemoglobin levels and numbers of transfusions. From the 6th day of taking the herbal medicine to discharge, a hemoglobin level of 7 g/dL or higher was maintained and the patient did not require blood transfusion. Conclusions: This clinical case study suggests that Subi-jeon might be effective in cases of hematosis of lower gastrointestinal bleeding.

상지 반복 작업 후 발생한 손목 및 손 부위의 기타 신경손상 치험 1례 (A Case Report of Injury of Other Nerves at the Wrist and Hand Level After Repetitive Work)

  • 김영지;박정수;성현경;이주아;공경환;고호연
    • 대한한방내과학회지
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    • 제37권5호
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    • pp.847-854
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    • 2016
  • Background and Objective: The Korean agricultural population is now rapidly aging. Older people in rural areas are weak due to work-related musculoskeletal disorders. The aim of this case is to report treatment of injuries to the nerves at the wrist and hand level by Korean medicine. Methods: The patient in this case was a 74-year-old male. He had injured nerves at the right wrist and hand level due to agriculture work. We treated him with acupuncture, herbal medicine, etc. Results: The patient showed the first sign of recovery of his wrist after 13 days treatment. After 37 days of treatment, his wrist movement was restored to a nearly normal range. He showed the first sign of recovery in a finger after 19 days of treatment and his grasping power increased from 0% to 60%. The cold sensation in his hand and arm also disappeared. Conclusions: We cannot generalize based only on this one case study. Nevertheless, this report suggests that Korean medicine may be an effective treatment for injury of nerves at the wrist and hand level.

한방안이비인후피부과학회지에 게재된 안과 관련 논문에 관한 고찰 (The Review on the Ophthalmology related articles published in the Journal of Korean Medical Ophthalmology, Otolaryngology, Dermatology)

  • 김철윤;이동진;서형식;권강
    • 한방안이비인후피부과학회지
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    • 제27권2호
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    • pp.14-32
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    • 2014
  • Objective : This study was carried out to analyze the trends of ophthalmology related articles that have been published in the Journal of Korean Medical Ophthalmology, Otolaryngology, Dermatology(JKOOD). Method : We studied 72 research papers relevant to Ophthalmology that published in JKOOD from 1988 to 2013. All the paper were classified into three categories; original article, review article and case report. We also analyzed the articles according to the sort of diseases. We sub-classified the original articles into three categories descriptive study, analytic study and experimental study. We analyzed the case report according to various types of treatment. Result : 1. The number of searched journals is 72 papers; 21 review articles, 18 original articles, 33 case reports 2. Classification of 18 original articles into three categories; 12 descriptive studies, 0 analytic study, 6 experimental studies. 3. Distribution of diseases in ophthalmology; the percentage of 'strabismus' ranked the highest(25%) in case report. 4. Method of Evaluation in retina disease ; the percentage of fundus photography ranked the highest(50%) Conclusions : It is needed to develop the methods of study in part of eye disease. The studies using modern medical equipment should be increased in ophthalmology of Korean Medicine. It will be helpful to obtain objectivity and increase quality of studies.

체질 식이 이후에 발생한 소화불량에 대한 전신관절역학 치료 중 복부도인술과 림프순환기법의 효과: 증례보고 (The Effect of Abdominal Daoyin and Lymphatic Circulation Technique in combination with Whole-body Articulation Mechanics Technique Therapy on Indigestion after Constitutional Diet: A Case Report)

  • 강영성;박혜진;백동윤;이상현;황의형
    • 척추신경추나의학회지
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    • 제18권2호
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    • pp.75-84
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    • 2023
  • Objectives This study aimed to report the effectiveness of abdominal Daoyin and lymphatic circulation technique in conjunction with whole-body articulation mechanics technique therapy in treating indigestion. Methods Three patients who suffered from dyspepsia and abscess after consuming foods incompatible with their constitution, following a 10-year implementation of a constitutional diet at a local Korean Medicine clinic, visited a Korean Medicine Hospital. The patients underwent treatment with abdominal Daoyin and lymphatic circulation technique. The effects of these techniques were analyzed using a retrospective record analysis method. Results Following the implementation of abdominal Daoyin and lymphatic circulation technique for indigestion, the numeric rating scale scores improved significantly. Case 1 improved from 9 to 2, case 2 from 6 to 0, and case 3 from 5 to 1. Conclusions While acknowledging the limitations of being a case report involving only three patients and the absence of specialized outcomes for digestive issues, this report may provide a preliminary basis for considering the efficacy of Chuna manual therapy in indigestion treatment.

Progression of a persisting mesenchymal hamartoma to intrahepatic cholangiocarcinoma 24 years after the initial diagnosis: A case report

  • Sujin Gang;YoungRok Choi;Sola Lee;Su young Hong;Sanggyun Suh;Eui Soo Han;Suk Kyun Hong;Nam-Joon Yi;Kwang-Woong Lee;Kyung-Suk Suh
    • 한국간담췌외과학회지
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    • 제26권4호
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    • pp.407-411
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    • 2022
  • Mesenchymal hamartoma of the liver (MHL) is a rare benign tumor that often presents in early childhood, and it rarely occurs in adulthood. Aberrant development of the portal tract is a known cause of MHL. Although limited information is available on the natural course of MHL, malignant transformation has been reported in a few cases. Here, we report a case of a 26-year-old female with intrahepatic cholangiocarcinoma secondary to unresected MHL. The patient underwent resection of the hepatic mass, which was diagnosed as MHL at 2 years of age, due to an increase in mass size and a suspicion of malignant transformation during work-up. Histopathology confirmed intrahepatic adenosquamous carcinoma in the background of MHL, with a T2N0M0 pathological stage (stage II). The surgical margin was free from tumor cells. The patient fully recovered postoperatively and started receiving adjuvant chemotherapy. Previous case reports have only reported about the development of undifferentiated embryonal sarcoma or angiosarcoma as malignant transformation of MHL. Cases of other malignancies have not been published; however, it is difficult to rule out the occurrence of various malignancies related to the portal tract when considering the pathogenesis of the disease. To the best of our knowledge, this is the first case report of adenocarcinoma of bile duct origin secondary to MHL. This case report suggests that aggressive surgical management should be considered after the initial diagnosis of MHL.

양안의 완전 외안근마비와 편측 안면마비를 동반한 밀러-피셔 증후군 환자 치험 1례 (A Case Report of Miller-Fisher Syndrome with Ophthalmoplegia and Facial Palsy)

  • 최지민;조인정;홍석훈
    • 한방안이비인후피부과학회지
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    • 제37권3호
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    • pp.84-98
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    • 2024
  • Objective : The purpose of this study is to report that the effect of Korean medical treatments on Miller-Fisher Syndrome with ophtalmoplegia and facial palsy. Methods : We treated a 69-year-old female diagnosed with Miller-Fisher syndrome with ophthalmoplegia, right facial palsy and other symptoms. She received Korean medical treatments such as herbal medicine(Gamiboik-tang), cupping therapy and acupuncture(including pharmacopuncture). The severity of ophthalmoplegia was evaluated by length of the eyeball movement and Scott and Kraft score. The severity of facial palsy was evaluated by Yanagihara score and the severity of other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was evaluated by VAS. Results : Each neurological symptoms were improved after Korean medical treatments. In case of ophthalmop legia, Scott and Kraft score increase from -4 to 0. There were no restrictions on eye movements. In case of facial palsy, Yanagihara score increased from 10 to 40. Also, other symptoms such as diplopia, dizziness, gait disturbance and neck&shoulder pain was improved. Conclusions : This case report suggests that Korean medical treatments can be effective for Miller-Fisher Syndrome patient with Ophthalmoplegia and Facial Palsy.

허혈경계부의 감소를 보인 뇌졸중 환자에 대한 증례보고 (Study on the Ischemic penumbra concept in stroke patient by case study)

  • 고성규
    • 대한한방내과학회지
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    • 제21권2호
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    • pp.341-348
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    • 2000
  • I have treated one ischemic stroke patient in acute stage with Seonghyangjeonggi-san, and observed remarkable reduction of the size ischemic portion in brain CT, notable improved motor power of patient. So I report this case of stroke patint. The ischemic penumbra, simply stated, is the part of the brain that is sandwiched brain regions committed to die and those that receive enough blood to communicate. Therefore, it is ischemic brain tissue that has just enough to communicte and function. The life expectancy of the penumbrais short. Although the penumbra is an elegant concept, in practice, it has been a difficult one to exploit. Up to now, a lot of research worker have tried to develop the method to make a accurate diagnosis. and then we know that PET and Xenon CT is available for the diagnosis for the ischemic penumbra. But those are not perfect to diagnose of penumbra. The case in my case report was confirmed as ischemic penumbra with CT. I know that CT is not prefect to diagnose penumbra, but I just want to raise the interest in penumbra of oriental medicine researcher and my report will be benificial to the penumbra researcher.

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반하사심탕과 육군자탕가미로 호전된 과민성 장 증후군 환자의 한방 치험 1례 (A Case Report of Irritable Bowel Syndrome in a Patient that Improved with Banhasasim-tang and Yukgunja-tang-gami)

  • 길봉훈;박진서;조혜미;정다해;정윤경;원지영;김동원
    • 대한한방내과학회지
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    • 제41권5호
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    • pp.877-884
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    • 2020
  • The purpose of this study was to report the clinical effects of Korean medicine on a patient who suffered from Irritable Bowel Syndrome with diarrhea, abdominal pain, and anorexia for few months. The patient was treated with herbal medicine, acupuncture, and moxibustion in combination with Western medicine for 7 weeks. The clinical symptoms (diarrhea, abdominal pain, and anorexia) were improved after Korean medicine treatment. Therefore, this case is useful for describing Korean medicine treatment for Irritable Bowel Syndrome, and further case reports and studies will be needed in the future.